DR. MATTHEW SCOTT LIDSTROM MD
NPI 1447512348
Radiology - Diagnostic Radiology in Coeur D Alene, ID
About Dr. Matthew Scott Lidstrom Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MATTHEW SCOTT LIDSTROM MD (NPI 1447512348) is an individual diagnostic radiology provider in Coeur D Alene, Idaho, licensed in Idaho (M-14997) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Matthew Scott Lidstrom Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 63
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kootenai Health
Acute Care Hospitals · Coeur D'alene, IDNorthwest Specialty Hospital
Acute Care Hospitals · Post Falls, IDShoshone Medical Center
Critical Access Hospitals · Kellogg, IDBenewah Community Hospital
Critical Access Hospitals · St Maries, IDBonner General Hospital
Critical Access Hospitals · Sandpoint, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Matthew Lidstrom's NPI number?
The NPI number for Matthew Lidstrom is 1447512348. It was assigned to this individual provider in the NPPES registry on June 15, 2012.
Where is Matthew Lidstrom located?
Matthew Lidstrom practices at 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814. The listed phone number is (208) 625-6300.
What is Matthew Lidstrom's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Matthew Lidstrom enrolled in Medicare?
Yes. Matthew Lidstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Matthew Lidstrom accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Matthew Lidstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Matthew Lidstrom affiliated with any hospitals?
According to CMS data, Matthew Lidstrom is affiliated with Kootenai Health, Northwest Specialty Hospital, Shoshone Medical Center, Benewah Community Hospital and Bonner General Hospital.
When was this NPI record last updated?
The NPPES record for Matthew Lidstrom was last updated on February 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.